Symptoms: tinnitus

Codelist metadata

Coding system
SNOMED CT (UK Clinical Edition)
Coding system release
35.2.0
Organisation
OpenSAFELY
Codelist ID
opensafely/symptoms-tinnitus
Version ID
4be35202

Versions

About

Description

Code list aiming to identify individuals consulting complaining of tinnitus.

Methodology

Identified from intial search terms outside of OpenCodelists: "tinnitus" "ringing" "buzzing" "hissing" "roaring" "hearing nois"

Clearly irrelevant codes excluded (with review by a second clinician)

Candidate codelist reviewed outside OpenCodelists by two clinicians. As we reviewed our candidate codelist outside openCodelists, we did not benefit from the tree structures that might have identified additional codes. However, we assume that these are likely to be codes that are not used frequently, e.g., eponymous syndromes.

Retained codes related to tinnitus masking devices, as these indicate ongoing tinnitus (study aiming to identify ongoing symptoms as well as new symptoms). Excluded codes related to referral to tinnitus management services, as unclear whether tinnitus management services only manage tinnitus symptoms (e.g., may also treat other ear/vestibular symptoms).

Signed off by

  • Kate Mansfield, (Dec. 14, 2022)

Codelists are developed by a broad community of users for individual study purposes, which may or may not meet the needs of other studies. They should not be thought of as universal definitions of a particular condition.

We don't offer any guarantees about what they do or don't identify. Users should carefully check that any codelist meets their needs, and seek clinical input where appropriate.

Disorder

  • Status:
    Included
    Name:
    Noise-induced tinnitus
    Code:
    (232318001)
  • Status:
    Included
    Name:
    Tinnitus due to spontaneous oto-acoustic emission
    Code:
    (232323001)
  • Status:
    Included
    Name:
    Tinnitus of muscular origin
    Code:
    (232319009)
    • Status:
      Included
      Name:
      Tinnitus arising from tensor palatini
      Code:
      (232321004)
    • Status:
      Included
      Name:
      Tinnitus arising from tensor tympani
      Code:
      (232320003)
  • Status:
    Included
    Name:
    Tinnitus of vascular origin
    Code:
    (232322006)
    • Status:
      Included
      Name:
      Objective pulsatile tinnitus
      Code:
      (117411000119106)
      • Status:
        Included
        Name:
        Objective pulsatile tinnitus of left ear
        Code:
        (1089261000119105)
        • Status:
          Included
          Name:
          Objective pulsatile tinnitus of bilateral ears
          Code:
          (1084191000119105)
      • Status:
        Included
        Name:
        Objective pulsatile tinnitus of right ear
        Code:
        (1091871000119103)
        • Status:
          Included
          Name:
          Objective pulsatile tinnitus of bilateral ears
          Code:
          (1084191000119105)
    • Status:
      Included
      Name:
      Subjective pulsatile tinnitus
      Code:
      (117421000119104)
      • Status:
        Included
        Name:
        Subjective pulsatile tinnitus of left ear
        Code:
        (1089621000119103)
        • Status:
          Included
          Name:
          Subjective pulsatile tinnitus of bilateral ears
          Code:
          (1084621000119102)
      • Status:
        Included
        Name:
        Subjective pulsatile tinnitus of right ear
        Code:
        (1092231000119108)
        • Status:
          Included
          Name:
          Subjective pulsatile tinnitus of bilateral ears
          Code:
          (1084621000119102)

Finding

  • Status:
    Included
    Name:
    Noises in ear
    Code:
    (162349004)
    • Status:
      Included
      Name:
      Buzzing in ear
      Code:
      (162351000)
    • Status:
      Excluded
      Name:
      Echo in ear
      Code:
      (699390004)
    • Status:
      Included
      Name:
      Hissing in ear
      Code:
      (162353002)
    • Status:
      Included
      Name:
      Ringing in ear
      Code:
      (162352007)
    • Status:
      Included
      Name:
      Roaring in ear
      Code:
      (162354008)
  • Status:
    Included
    Name:
    Tinnitus
    Code:
    (60862001)
    • Status:
      Included
      Name:
      Bilateral tinnitus
      Code:
      (4831000119102)
      • Status:
        Included
        Name:
        Objective tinnitus of bilateral ears
        Code:
        (1084201000119108)
      • Status:
        Included
        Name:
        Subjective tinnitus of bilateral ears
        Code:
        (1084631000119104)
    • Status:
      Included
      Name:
      Clicking tinnitus
      Code:
      (95822008)
    • Status:
      Included
      Name:
      Leudet's tinnitus
      Code:
      (95823003)
    • Status:
      Included
      Name:
      Nervous tinnitus
      Code:
      (95824009)
    • Status:
      Included
      Name:
      Non-vibratory tinnitus
      Code:
      (95825005)
    • Status:
      Included
      Name:
      Objective tinnitus
      Code:
      (28715001)
      • Status:
        Included
        Name:
        Objective tinnitus of left ear
        Code:
        (1089271000119104)
        • Status:
          Included
          Name:
          Objective tinnitus of bilateral ears
          Code:
          (1084201000119108)
      • Status:
        Included
        Name:
        Objective tinnitus of right ear
        Code:
        (1091881000119100)
        • Status:
          Included
          Name:
          Objective tinnitus of bilateral ears
          Code:
          (1084201000119108)
    • Status:
      Included
      Name:
      Subjective tinnitus
      Code:
      (62452009)
      • Status:
        Included
        Name:
        Subjective tinnitus of left ear
        Code:
        (1089631000119100)
        • Status:
          Included
          Name:
          Subjective tinnitus of bilateral ears
          Code:
          (1084631000119104)
      • Status:
        Included
        Name:
        Subjective tinnitus of right ear
        Code:
        (1092241000119104)
        • Status:
          Included
          Name:
          Subjective tinnitus of bilateral ears
          Code:
          (1084631000119104)
    • Status:
      Included
      Name:
      Tonal tinnitus
      Code:
      (866003005)
    • Status:
      Included
      Name:
      Vibratory tinnitus
      Code:
      (95826006)

Physical Object

  • Status:
    Included
    Name:
    Pulsed signal therapy system tinnitus applicator
    Code:
    (463002000)
  • Status:
    Included
    Name:
    Tinnitus masker
    Code:
    (705314004)
    • Status:
      Included
      Name:
      Behind-the-ear air-conduction tinnitus masker
      Code:
      (466528003)
    • Status:
      Included
      Name:
      Behind-the-ear bone-conduction tinnitus masker
      Code:
      (467073008)
    • Status:
      Included
      Name:
      Hand-held bone-conduction tinnitus masker
      Code:
      (462669000)
    • Status:
      Included
      Name:
      In-the-ear air-conduction tinnitus masker, analog
      Code:
      (701102005)
    • Status:
      Included
      Name:
      In-the-ear air-conduction tinnitus masker, digital
      Code:
      (469622006)
  • Status:
    Included
    Name:
    Tinnitus masking application software
    Code:
    (465066002)
  • Status:
    Included
    Name:
    Tinnitus masking compact disc
    Code:
    (464548007)

Procedure

  • Status:
    Included
    Name:
    Fit tinnitus masker
    Code:
    (290042003)
  • Status:
    Included
    Name:
    Tinnitus assessment
    Code:
    (252603000)
    • Status:
      Included
      Name:
      Minimal masking level for tinnitus
      Code:
      (277403003)
    • Status:
      Included
      Name:
      Residual inhibition of tinnitus
      Code:
      (252605007)
    • Status:
      Included
      Name:
      Temporal decay of masking of tinnitus
      Code:
      (252604006)
    • Status:
      Included
      Name:
      Tinnitus loudness match
      Code:
      (277400000)
      • Status:
        Included
        Name:
        Tinnitus loudness match to frequency of best hearing threshold
        Code:
        (277402008)
      • Status:
        Included
        Name:
        Tinnitus loudness match to frequency of pitch match
        Code:
        (277401001)
    • Status:
      Included
      Name:
      Tinnitus pitch match
      Code:
      (277399007)

[Inactive] Disorder

  • Status:
    Included
    Name:
    (Tinnitus) or (hearing noises)
    Code:
    (194392000)
  • Status:
    Included
    Name:
    Tinnitus
    Code:
    (155248003)

[Inactive] Finding

  • Status:
    Included
    Name:
    Buzzing in ear
    Code:
    (139620005)
  • Status:
    Included
    Name:
    Finding of tinnitus
    Code:
    (300200005)
  • Status:
    Included
    Name:
    Hissing in ear
    Code:
    (139622002)
  • Status:
    Included
    Name:
    Ringing in ear
    Code:
    (139621009)
  • Status:
    Included
    Name:
    Roaring in ear
    Code:
    (139623007)
  • Status:
    Included
    Name:
    Tinnitus NOS
    Code:
    (568001000000104)
  • Status:
    Included
    Name:
    Tinnitus NOS
    Code:
    (194395003)
  • Status:
    Included
    Name:
    Tinnitus symptom NOS
    Code:
    (568551000000106)
  • Status:
    Included
    Name:
    Tinnitus symptom NOS
    Code:
    (139624001)
  • Status:
    Included
    Name:
    Tinnitus symptom NOS
    Code:
    (162355009)
  • Status:
    Included
    Name:
    Unspecified tinnitus
    Code:
    (643771000000102)
  • Status:
    Included
    Name:
    Unspecified tinnitus
    Code:
    (194393005)

[Inactive] Physical Object

  • Status:
    Included
    Name:
    Device associated with tinnitus maskers
    Code:
    (705313005)